Eat Even More Vegetables and Fruits to Protect Your Heart

Editorials16 June 2020Eat Even More Vegetables and Fruits to Protect Your HeartRamon Estruch, MD, PhD, Rosa Casas, MD, PhD, and Emilio Ros, MD, PhDRamon Estruch, MD, PhDUniversity of Barcelona, Barcelona, Spain (R.E., R.C.), Rosa Casas, MD, PhDUniversity of Barcelona, Barcelona, Spain (R.E., R.C.), and Emilio Ros, MD, PhDInstituto de Salud Carlos III, Madrid, Spain (E.R.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-2504 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The manifestations of atherosclerotic cardiovascular disease (CVD), the main cause of morbidity and mortality worldwide, range from subclinical myocardial damage to end-stage heart failure. At present, persuasive evidence exists that a healthy lifestyle, particularly a healthy diet, is the cornerstone of maintaining and improving cardiovascular health (1). Among dietary patterns beneficial for cardiovascular health, those most recommended are the DASH, Mediterranean-style, and vegetarian diets (2). The DASH diet is rich in vegetables, fruits, and low-fat dairy products and includes a moderate amount of whole grains, legumes, nuts, fish, and poultry. The traditional Mediterranean diet includes the same plant-based foods but ...References1. Arnett DK, Blumenthal RS, Albert MA, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Circulation. 2019;140:e596-e646. [PMID: 30879355] doi:10.1161/CIR.0000000000000678 CrossrefMedlineGoogle Scholar2. Van Horn L, Carson JA, Appel LJ, et al; American Heart Association Nutrition Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Stroke Council. Recommended dietary pattern to achieve adherence to the American Heart Association/American College of Cardiology (AHA/ACC) guidelines: a scientific statement from the American Heart Association. Circulation. 2016;134:e505-e529. [PMID: 27789558] CrossrefMedlineGoogle Scholar3. Juraschek SP, Kovell LC, Appel LJ, et al. Associations between dietary patterns and subclinical cardiac injury. An observational analysis from the DASH trial. Ann Intern Med. 2020;172:786-94. doi:10.7326/M20-0336 LinkGoogle Scholar4. Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997;336:1117-24. [PMID: 9099655] CrossrefMedlineGoogle Scholar5. Stelzle D, Shah ASV, Anand A, et al. High-sensitivity cardiac troponin I and risk of heart failure in patients with suspected acute coronary syndrome: a cohort study. Eur Heart J Qual Care Clin Outcomes. 2018;4:36-42. [PMID: 29045610] doi:10.1093/ehjqcco/qcx022 CrossrefMedlineGoogle Scholar6. McKie PM, Burnett JC. NT-proBNP: the gold standard biomarker in heart failure [Editorial]. J Am Coll Cardiol. 2016;68:2437-2439. [PMID: 27908348] doi:10.1016/j.jacc.2016.10.001 CrossrefMedlineGoogle Scholar7. Lin JS, Evans CV, Johnson E, et al. Nontraditional risk factors in cardiovascular disease risk assessment: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2018;320:281-297. [PMID: 29998301] doi:10.1001/jama.2018.4242 CrossrefMedlineGoogle Scholar8. Buil-Cosiales P, Toledo E, Salas-Salvadó J, et al; PREDIMED investigators. Association between dietary fibre intake and fruit, vegetable or whole-grain consumption and the risk of CVD: results from the PREvención con DIeta MEDiterránea (PREDIMED) trial. Br J Nutr. 2016;116:534-46. [PMID: 27264785] doi:10.1017/S0007114516002099 CrossrefMedlineGoogle Scholar9. Aune D, Giovannucci E, Boffetta P, et al. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality—a systematic review and dose-response meta-analysis of prospective studies. Int J Epidemiol. 2017;46:1029-1056. [PMID: 28338764] doi:10.1093/ije/dyw319 CrossrefMedlineGoogle Scholar10. Rinaldi de Alvarenga JF, Quifer-Rada P, Francetto Juliano F, et al. Using extra virgin olive oil to cook vegetables enhances polyphenol and carotenoid extractability: a study applying the sofrito technique. Molecules. 2019;24. [PMID: 31010212] doi:10.3390/molecules24081555 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Barcelona, Barcelona, Spain (R.E., R.C.)Instituto de Salud Carlos III, Madrid, Spain (E.R.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-2504.Corresponding Author: Ramon Estruch, MD, PhD, Department of Internal Medicine, Hospital Clinic, Institut d'Investigació Biomédica August Pi i Sunyer, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain; e-mail, [email protected]cat.Current Author Addresses: Drs. Estruch and Casas: Department of Internal Medicine, Hospital Clinic, Institut d'Investigació Biomédica August Pi i Sunyer, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain.Dr. Ros: Centro de Investigación Biomédica En Red Fisiopatología de la Obesidad y la Nutrición, Instituto de Salud Carlos III, 28029 Madrid, Spain.This article was published at Annals.org on 19 May 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociations Between Dietary Patterns and Subclinical Cardiac Injury Stephen P. Juraschek , Lara C. Kovell , Lawrence J. Appel , Edgar R. Miller III , Frank M. Sacks , Robert H. Christenson , Heather Rebuck , Alexander R. Chang , and Kenneth J. Mukamal Metrics Cited byGeriatric Nutritional Assessment and Treatment FrameworksGeriatric Nutritional Assessment and Treatment Frameworks 16 June 2020Volume 172, Issue 12Page: 826-827KeywordsCardiovascular diseasesDietEatingFoodHeart failureHigh sensitivity c reactive proteinHospital medicineInflammationMortalityN terminal pro brain natriuretic peptides ePublished: 19 May 2020 Issue Published: 16 June 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...